Z38-20978-47348
5 vaccinations
9 coded responses
45 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 180 / PA
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Registered in v-safe
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2021-03-16
Dose 1 — Moderna
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: Fair · HeadacheFree text: Congestion but might be from seasonal allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tirednessFree text: Congestion; might be seasonal allergies!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — day 7, dose 1MedDRA: Dizziness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Dizzy, might be seasonal allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
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2021-04-14
Dose 2 — Moderna
- 2021-04-14
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2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-16
- 2021-04-17
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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Neck mass — Feeling: Fair · Headache, Fatigue or tirednessFree text: Swollen glands? (lump under the right ear at the neck)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
- 2021-10-13
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2021-11-03
Dose 3 — Moderna
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2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Pruritus — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Itchy yesterday on different parts of my face and body.MedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-17
- 2021-11-24
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2021-12-01
Survey response — day 28, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: Bad head cold; NOT COVID.MedDRA releases: 2024-11 · check-in free text available
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2021-12-08
Survey response — day 35, dose 3MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: GoodFree text: Bad head cold; still lingering on after 12 days! Not COVID though as I was tested two weeks ago. No chills, fever, body aches or headache!MedDRA releases: 2024-11 · check-in free text available
- 2021-12-15
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2022-02-02
Survey response — 3 months, dose 3MedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: GoodFree text: Had a positive COVID test and had COVID (Omicron, I'm assuming).MedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
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2022-07-27
Dose 4 — Moderna
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2022-10-18
Dose 5 — Moderna
- 2022-11-03
- 2022-11-03
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2022-11-29
- 2023-01-17
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-07-27 | Moderna | No |
| 5 | 2022-10-18 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Dizzy
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Congestion but might be from seasonal allergies
Systemic reaction (other): Congestion; might be seasonal allergies!
Release 6 — day 7, dose 1
Systemic reaction (other): Dizzy, might be seasonal allergies.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen glands? (lump under the right ear at the neck)
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Itchy yesterday on different parts of my face and body.
Release 10 — day 28, dose 3
Symptoms: Bad head cold; NOT COVID.
Release 10 — day 35, dose 3
Symptoms: Bad head cold; still lingering on after 12 days! Not COVID though as I was tested two weeks ago. No chills, fever, body aches or headache!
Release 11 — 3 months, dose 3
Symptoms: Had a positive COVID test and had COVID (Omicron, I'm assuming).
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Neck mass | ✓ | ✓ | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release